Individual
DR. BRANKA KOSARAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8520 BROADWAY ST, SUITE 200, PEARLAND, TX 77584-7716
(281) 485-4050
Mailing address
8520 BROADWAY ST, SUITE 200, PEARLAND, TX 77584-7716
(281) 485-4050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10038538
TX
207Q00000X
Family Medicine Physician
Primary
P1342
TX
390200000X
Student in an Organized Health Care Education/Training Program
0116021220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304343202
—
TX
01
—
8EK655
BLUE CROSS BLUE SHIELD
TX
01
—
8FT338
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/02/2009
Last updated
05/11/2016
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